Re-Engagement Specialist

Summary
Assists staff with all aspects of re-engagement and outreach to members without contact within CODAC and funder database system. Outreach staff demonstrate excellent motivational, clinical and customer service skills.

Essential Duties and Responsibilities

• Maintains relationship with payors to ensure data accuracy for closure process.
• Maintains internal closure log for all sites to ensure a successful closure process.
• Tracks requested, follow up attempts and receipt of medical information from Primary Care Physicians.
• Prepares, tracks, and maintains reports to provide pertinent data, using indicated documentation.
• Verifies data report accuracy and integrity and upholds confidentiality of protected health care information.
• Assists in reconnecting members with services who have not had outreach for an extended period of time.
• Complete and updates appropriate clinical documentation to ensure an updated record.
• Schedules and links members to appropriate appointments and future services within the organization.
• Coordinates with IS on design, development, and execution of complex queries to pull data from CODAC systems.
• Coordinate project-based work.
• Communicates with stakeholders, members, and participants, staff, and the public in a manner that reflects positively on the agency.
• Works with all levels of internal staff to address system discrepancies.
• Assists in all aspects of roster reconciliation for members pending closure.
• Returns all inquiry calls within 24 hours excluding weekends and holidays.
• Performs other related duties in accordance with agency growth and changes.